A Pilot Study to Identify Infrastructure Building Across HRSA Programs

The Health Resources and Services Administration (HRSA) provides a healthcare infrastructure or safety net for certain vulnerable and underserved populations through such programs as Ryan White Pediatric AIDS and Healthy Start, a program to reduce deaths among babies in areas with high rates of infant mortality. This study examined various communities to describe how HRSA programs contribute to its goals and how its funding affects the development of a community's healthcare safety net. The research indicated that while HRSA funds only a small portion of the total support of an organization, regardless of the amount, the money is being used to leverage additional funding. Without HRSA funding, some essential services would be significantly reduced or cease to exist altogether. These and other findings as well as recommendations for collecting information for future assessment and planning purposes were included in the study.

AGENCY SPONSOR: Office of the Administrator

FEDERAL CONTACT: Townsend, Jessica
301-443-0371

PIC ID: 6814

PERFORMER: Mathematica Policy Research, Inc.
Washington, DC

Demonstration and Evaluation of Diverse Methods of Technical Assistance Provision to HBCUs

The purpose of this study was to determine the better of two approaches for providing technical assistance to Historically Black Colleges and Universities (HBCUs) to increase their participation in Health Resources and Services Administration (HRSA) projects. Because HBCUs have had a long tradition of providing social services to minority and low-income communities, they are particularly well-suited for participating in HRSA's programs aimed toward ensuring access to adequate healthcare for minorities and disadvantaged groups. The two approaches evaluated for delivering technical assistance were to conduct workshops: (1) in a regional setting, involving 20 HBCUs, and (2) on-site at campuses of 5 HBCUs. The study determined that the former was the better of these approaches. This and other findings and recommendations were included in the study.

AGENCY SPONSOR: Office of the Administrator

FEDERAL CONTACT: Dandy, Roscoe
301-443-6582

PIC ID: 6812

PERFORMER: Institute for College Research Development and Support
Silver Spring MD

Recommended Design and Strategy for NY GME Demonstration and National BBA GME Provisions (Tasks 5 and 6--Basic Contract)

The purpose of this study, which is jointly sponsored by the Health Resources and Services Administration (HRSA) and the Health Care Financing Administration (HCFA) and managed by HCFA, is to develop: (1) a design for evaluating a demonstration financed by the HCFA in 1997 in selected New York State teaching hospitals, and (2) recommendations for evaluating Phase II of the demonstration, along with related provisions of the Balanced Budget Act (BBA). The 42 hospitals in the current demonstration volunteered to reduce the number of resident physicians in training by 20 percent or more over a five year period, while maintaining or increasing the proportion in their primary care program. In return, the HCFA provides transition payments of $400 million over six years. The hospitals repay the payments if they fail to meet their reduction targets. The BBA provides similar options for hospitals in other States and modifies the transitional payment policies by eliminating payment for the first five percent reduction in the full-time equivalent residents. Evaluation objectives include: (1) performance in meeting targets for reductions, (2) impact on access and efficiency, and (3) potential spillover effects on non-participating hospitals.

AGENCY SPONSOR: Office of the Administrator

FEDERAL CONTACT: Townsend, Jessica
301-443-0371

PIC ID: 7132

PERFORMER: Health Economics Research, Inc.
Waltham, MA